Shoshany Cory, Fahey Lisa M
From Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
the Division of Gastroenterology, Hepatology, and Nutrition, The Children's Hospital of Philadelphia, Philadelphia, PA.
J Pediatr Gastroenterol Nutr. 2023 Mar 1;76(3):343-346. doi: 10.1097/MPG.0000000000003699. Epub 2022 Dec 28.
Intussusception is the most common cause of gastrointestinal obstruction in children and typically presents with acute abdominal pain. Intussusception usually occurs in children under the age of 3 in the ileocecal region. Over the past 5 years, multiple patients at the Children's Hospital of Philadelphia have been diagnosed with both intussusception and biopsy-confirmed celiac disease (CD). Intussusception may be a presenting sign of pediatric CD and should raise clinical suspicion for celiac screening, especially if it is a small bowel-small bowel intussusception that occurs after the age of 3 in a malnourished patient.
肠套叠是儿童肠梗阻最常见的原因,通常表现为急性腹痛。肠套叠通常发生在3岁以下儿童的回盲部。在过去5年中,费城儿童医院的多名患者被诊断为同时患有肠套叠和活检确诊的乳糜泻(CD)。肠套叠可能是小儿CD的一个表现体征,应引起对乳糜泻筛查的临床怀疑,特别是如果它是发生在3岁以后营养不良患者中的小肠-小肠肠套叠。